Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
joint tenderness, supraspinatus ... , the arm is fully ... Pain in the anterior ... #Diagnosis #PhysicalExam ... #Tendinopathy #Impingement
IDSA Recommendations for Preventing Human Papillomavirus Infections and Cervical Cancer Screening for Women with in HIV-AIDS
Recommendations
aged 21–29 should ... • Pap test should ... are normal, follow-up ... 0.5mL IM at 0, 1–2, ... infections #HIVAIDS #pharmacology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
fungal infection, HIV ... aldosterone levels are ... A STIM test can ... time of the day. 2. ... ACTH STIM TEST:
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
: • 2 sets of blood ... cultures should ... the preferred test ... all patients for HIV ... Most patients are
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
C3, C4 - Test for ... antibody, and HIV ... cryoglobulinemias (types 2 ... testing #workup #diagnosis ... nephrotic #nephritic #nephrology
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
severe abdominal pain ... +preg test. ... (see below for diagnosis ... an IUP or not. #2 ... Unstable patients should
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... safe to stop 2. ... Possible responses to pain ... #PhysicalExam #neurology ... #comatose #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
less expensive 2) ... . 5) C3, C4 - Test ... cryoglobulinemias (types 2 ... disease #workup #diagnosis ... initial #testing #nephrology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Incidence: 1 to 2 ... immunodeficiency virus (HIV ... found in 1/3 to 1/2 ... and sensitive tests ... #management #neurology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
disappears in 2- ... have positive serology ... a syndrome of pain ... -Gumma are ulcerating ... Latent #Tertiary #Diagnosis